JANA LEIGH FACKRELL - Physical Therapist License in California | # 070002427

JANA LEIGH FACKRELL

Business Entity

INACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070002427

License Status

INACTIVE

Business

N

First Name

JANA LEIGH

Last Name

FACKRELL

Business Name

JANA LEIGH FACKRELL

Original Issue Date

05/23/1977

Effective Date

05/23/1977

Expiration Date

09/30/1984

State

CA

Ever Disciplined

N

LastModifiedDate

10/14/2005